go back

Utah rates for HCPCS 75880

Venography Orbital Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.32 / $185.32 / $852.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $185.32 / $669.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.95 / $793.63 / $2,512.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $150.02 / $228.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.98 / $98.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.19 / $1,209.07 / $2,134.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.12 / $199.96 / $292.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $129.02 / $208.53